# ANTONIO RIVERA FERNANDEZ

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FARMACIA DEL CARMEN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922130814
- **Legal business name:** FARMACIA DEL CARMEN
- **Authorized official:** ANTONIO RIVERA FERNANDEZ (OWNER)
- **Authorized official phone:** (787) 383-2151

## Contact information

- **Practice address:** 53 CALLE JOSE DE DIEGO, FARMACIA DEL CARMEN, CIDRA, PR 00739-3360
- **Practice address phone:** (787) 739-2151
- **Practice address fax:** (787) 739-4151
- **Mailing address:** 53 JOSE DE DIEGO, CIDRA, PR 00739-3360
- **Mailing address phone:** (787) 739-2151
- **Mailing address fax:** (787) 739-4151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 09-F-0381 | PR | Yes |

## Other

- **Enumeration date:** 03/09/2007
- **Last updated:** 06/18/2008